Biopsychosocial Needs among Patients with Hemiplegia

Abstract

Hemiplegia is defined as the paralysis of one side of the body. It is caused by disease or injury to the opposite hemisphere of the brain. People with hemiplegia often display difficulties in mobility, cardiopulmonary function, and sensory functioning. These difficulties affect their activities in daily living and thus have a negative impact on the quality of their life. Aim of the study: assess the biopsychosocial needs of patient with hemiplegia. Research design: exploratory descriptive design was utilized to meet the aim of this study. Setting: this study conducted at special medicine unit (neurology) and outpatient clinic at Fayoum university hospital. Subjects: A Purposive sample includes 100 patients. Tools of data collection: patient’s assessment tool; Part 1: Socio-demographic data. Part 2: Past medical history of patients under study. Part 3: Biopsychosocial needs assessment. A) Physical needs assessment include І. systemic assssment; П. assessment of the daily living activities using barthel index scale. B) Psychological needs assessment. C) Social needs assessment. Results: the study showed that the common systemic need among studied patients were nervous system disorder with 61%, rest and sleep alteration with 56% followed by integumentary alteration with 38%, among the patients under study. Regarding performance of activity of daily living it was found that 30% of patient’s under study had severe dependency. Regarding psychological needs it was found that 84% of patient’s under study had severe anxiety. Conclusion: this study concluded that about third of patient’s under study had moderate level of social needs. Recommendation: the study recommended that supportive care services in any hospital care setting should be directed towards meeting biopsychosocial needs of patients with hemiplegia.